1578693032 NPI number — MS. FROSO H SENDUKAS LCSW LCDC

Table of content: MS. FROSO H SENDUKAS LCSW LCDC (NPI 1578693032)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578693032 NPI number — MS. FROSO H SENDUKAS LCSW LCDC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SENDUKAS
Provider First Name:
FROSO
Provider Middle Name:
H
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW LCDC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578693032
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7887 SAN FELIPE
Provider Second Line Business Mailing Address:
STE 248
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77063
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-974-1985
Provider Business Mailing Address Fax Number:
713-974-3081

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7887 SAN FELIPE
Provider Second Line Business Practice Location Address:
STE 248
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77063
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-974-1985
Provider Business Practice Location Address Fax Number:
713-974-3081
Provider Enumeration Date:
03/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  898 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 1041C0700X , with the licence number: S00642 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com